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This medication comes with crucial safety warnings and precautions to ensure its safe use. It is important to understand these risks and discuss any concerns with your healthcare provider.

• Medication Interactions: Inform your healthcare provider or pharmacist about all medications and supplements you are currently taking before beginning norethindrone. This will help them identify any potential interactions.

• Ectopic Pregnancy or Ovarian Cyst: If pregnancy occurs while using norethindrone, there is a small risk of it being ectopic (occurring outside the uterus). Ectopic pregnancies can be serious, so seek immediate medical attention if you experience symptoms like cramping or pain in the lower abdomen or shoulder.

• Irregular Vaginal Bleeding: Experiencing irregular vaginal bleeding is a frequent side effect of progestin-only pills (POPs) such as norethindrone. Although rare, it could indicate a more serious condition, like an infection or cancer. Consult your healthcare provider if you have concerns about irregular bleeding. Additionally, if you do not experience any vaginal bleeding, it is advisable to contact your provider to determine if you are pregnant.

• Possible Risk of Cancer: Some studies suggest an increased risk of breast or ovarian cancer with combination birth control pills. It remains unclear if norethindrone or other POPs pose the same risk. Discuss any cancer concerns with your healthcare provider.

Contraindications: Do not use this medication if you have the following conditions, as it may lead to severe health complications. Consult your healthcare provider if any apply:

• Pregnancy
• Confirmed or suspected breast cancer
• Undiagnosed bleeding between periods
• Liver tumors, whether benign or cancerous
• Acute liver disease

Always adhere to these guidelines and consult with your healthcare provider for personalized advice and further information.

When using this medication, some common side effects may include mild symptoms such as nausea, vomiting, headaches, bloating, tender breasts, and weight gain. It's not unusual to experience irregular periods or spotting between periods, but these are generally not cause for concern unless they persist or worsen.

There are also other side effects that, while less common, should still be monitored. These include dizziness and changes in mood, such as new or worsening depression. It's important to be attentive to any unusual changes in menstrual bleeding, such as continuous spotting or sudden heavy bleeding.

In rare cases, more serious side effects can occur, which require immediate medical attention. These include symptoms of an ectopic pregnancy like severe stomach pain and spotting, as well as the appearance of lumps in the breast, severe abdominal pain, dark urine, and yellowing of the skin or eyes. Additionally, a very serious allergic reaction is rare but can manifest as a rash, itching or swelling (especially of the face, tongue, or throat), severe dizziness, and trouble breathing. If any of these severe symptoms occur, seek medical help promptly.

While many people do not experience serious side effects, staying informed and attentive to your body's reactions is essential for safe medication use.